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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can I Control White Coat Blood Pressure And Reasons For Shortness Of Breath And Headache ?

dear all, I have the following problem 1. when i go the doctor office, doctor get my blood pressure 160/100. after returning home i get my bp 120/80(using home bp machine, there is no machine problem because I have tested three different machine). One day I was giving exam in online, then i got my bp 160/100, after finishing the exam i got my bp 120/80. Without anxiety, my bp range 110/73 to 130-84 (maximum time around 120/80 ) 2. I have overhead headache , during normal BP. 3. I have some shortness of breath my age 27. i am male. i have done follwing test 1. ecg -normal 2. echo-normal 3. urine rme normal 4. lipid normal 5. rbs normal 6. serum creatanine 1.30 7. usg of genitourinary system - normal my question. 1.My white coat bp is normal? if not normal how can i do? 2.I have no other disease, why am i having shortness of breath, 3.Why am i having overhead headache? please give me overall suggestion.
Sun, 3 Jun 2012
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Cardiologist 's  Response
Hi ,
it is good that all your screening tests are normal . what we shall need also is your BMI and stress test .
Please note that even in normal individual , BP fluctuations are possible .
In your case anxiety and other reasons like stress , or any other positive risk factors like family history , addictions can also play important role in elevating blood pressure .
Consider following measures to have good controll of BP
1 Home monitoring of BP
2 stress releiving measures like yoga / meditation
3 regular exercise
4 maintain ideal weight
5 no addictions

Headches can be due to high BP , eye or detal problems .
Get it asses by experts in clinic .
Thx
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Naturopathy & Yoga Specialist Dr. M. Hari Namboodiri's  Response
Dear Mr.

From Your questions and the way it goes i infer u are in midst of lots of Stress.your lab reports clearly suggests normal exept some small hike in your creatinine level.I advise you to approach some good yoga masters/call me for learning to manage ur stress as such there is no problem called stress elumination-so better u should know how to manage your Stress.the head ache and shortness of the breath is strongly related to that ie tension headache.also u need to be in a alkaline diet to reduce your acidic nature.

In a Nut shell -all cooling pranayams (breathing exercises )and alkalising ur diet is sure shot remedy for ur complaints.also try Hot foot bath (10 mins ) to relieve from ur head ache instantly.

check ur Hemoglobin level and let me know....

take care....

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How Can I Control White Coat Blood Pressure And Reasons For Shortness Of Breath And Headache ?

Hi , it is good that all your screening tests are normal . what we shall need also is your BMI and stress test . Please note that even in normal individual , BP fluctuations are possible . In your case anxiety and other reasons like stress , or any other positive risk factors like family history , addictions can also play important role in elevating blood pressure . Consider following measures to have good controll of BP 1 Home monitoring of BP 2 stress releiving measures like yoga / meditation 3 regular exercise 4 maintain ideal weight 5 no addictions Headches can be due to high BP , eye or detal problems . Get it asses by experts in clinic . Thx